Organization Active NPI

Granatosky PLLC

  • Dental Clinic/Center
  • Everett, WA
National Provider Identifier
1114768611
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GRANATOSKY PLLC
Practice address
4001 Colby Ave Ste 1
Everett, WA 98201-4991
Phone
(425) 252-8919
NPI assigned
Jun 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Constantine Granatosky, DMDNPI 1760039762
Title
Dentist
Phone
(321) 431-1305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4001 Colby Ave Ste 1
Everett, WA 98201-4991

Mailing address

4001 Colby Ave Ste 1
Everett, WA 98201-4991
Phone (425) 252-8919

National Provider Directory

National Provider Directory

Locations

4001 Colby Ave
Ste 1
Everett, WA 98201
Phone (425) 252-8919

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1114768611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 COLBY AVE STE 1",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014991",
            "telephone_number": "425-252-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 COLBY AVE STE 1",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014991",
            "telephone_number": "425-252-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANATOSKY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "GRANATOSKY",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "321-431-1305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.